Perioperative medicine & outcomes

Excess hospital length of stay and extra cost attributable to primary prolonged postoperative ileus in open alimentary tract surgery: a multicenter cohort analysis in China

Perioper Med (Lond)Published Prospective multicentre cohort study

Authors' conclusion

Primary PPOI is a potential source of prolonged hospital LOS and extra healthcare costs for patients undergoing open abdominal surgery.

Study context

Population
Patients undergoing open abdominal surgery without secondary prolonged postoperative ileus (PPOI), 22 tertiary hospitals in China1,863 analysed
Participants
2,083 patients
Exposure
Primary PPOI vs no PPOI
  • PPOIn = 246
Outcome
Hospital LOS and healthcare costs
Methodological detailsprospectively registered cohort, multivariate Poisson and log-transformed linear regression
  • Prospectively registered cohort
  • Multivariate Poisson and log-transformed linear regression

Main finding

As reported in the abstract

GroupValueMedian healthcare cost
PPOImedian 12 days70,672 CNY
non-PPOImedian 11 days67,597 CNY

Value

PPOImedian 12 days
non-PPOImedian 11 days

Median healthcare cost

PPOI70,672 CNY
non-PPOI67,597 CNY
  • PPOI vs non-PPOI: P < 0.001 — median length of stay (LOS)
  • PPOI vs non-PPOI: P = 0.016 — median healthcare cost
Proportion of prolonged LOS due to primary PPOI (multivariate Poisson regression)
12%
Proportion of healthcare costs due to primary PPOI (log-transformed linear regression)
4.6%

Observational data: associations, not effects.

Further findings

Incidence of primary PPOI (246/1863)
13.2%

Original publication

Excess hospital length of stay and extra cost attributable to primary prolonged postoperative ileus in open alimentary tract surgery: a multicenter cohort analysis in China. Perioper Med (Lond). Published 18 December 2024. doi:10.1186/s13741-024-00474-9

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